Erectile Dysfunction and Premature Ejaculation are the Most Frequently Self-Reported Sexual Concerns: Profiles of 9,536 Men Calling A Helpline

Papaharitou, Stamatis; Athanasiadis, Loukas; Nakopoulou, Evangelia; Kirana, Paraskevi‐Sofia; Portseli, Alexandra; Iraklidou, Maria; Hatzimouratidis, Konstantinos; Hatzichristou, Dimitrios

doi:10.1016/j.eururo.2005.09.023

Cited by 54 publications

(36 citation statements)

References 24 publications

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“…In the present study, the majority of participants with available data were either overweight or obese while 26.5% were ex-or present smokers. It is well known that both body weight and smoking habit represent important risk factors for development of SD [22,23]. The participants had also lower level of education and were manual workers (class 3).…”

Section: Discussionmentioning

confidence: 99%

Sexual Dysfunctions as Self-Reported by Diabetic- Type-2 Men: An Andrology Clinic-Based Study in Alexandria, Egypt

Salama¹

2013

AJMBR

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Objectives: To document the prevalence of self-reported sexual dysfunctions (SDs) in diabetic type 2 (DM2) men attending the andrology clinic in the Alexandria University hospital. Methods: A retrospective analysis of clinical case records of 276 consecutive DM2 and 100 consecutive non-diabetic (controls) men who reported SDs directly to the andrology clinic was done. Results: The majority of the patients and controls had light manual occupation, low education level and no history of smoking. No patient reported history of alcohol intake. Erectile dysfunction (ED) was frequent in the DM2 patients and the only complaint in 54.7%. The remaining patients had more than one (compound) complaint. ED (42.7%), premature ejaculation (22.1%) and low libido (11.7%) were the most frequent SDs in these compound complaints. They often joined together in the patients. Less frequently reported SDs were anejaculation (7.2%), penile curvature (4.4%), small-sized penis (2.5%) and penile plaques (0.7%). Penile pain and delayed and painful ejaculations were the rarest reported SDs. Conclusion: DM2 men consulting the andrology clinic may present with several different sexual complaints although ED is the most frequent among these. All diabetic men, therefore, should be asked carefully about the probable existence of any variety of SDs during their medical evaluation.

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Section: Discussionmentioning

confidence: 99%

Sexual Dysfunctions as Self-Reported by Diabetic- Type-2 Men: An Andrology Clinic-Based Study in Alexandria, Egypt

Salama¹

2013

AJMBR

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“…Erectile dysfunction (ED) is a common problem among aging men [1][2][3][4]. A number of modifiable risk factors are associated with ED, including obesity, hypertension, unfavorable lipid levels, alcohol abuse, physical activity, and cigarette smoking [5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Association between Smoking, Passive Smoking, and Erectile Dysfunction: Results from the Boston Area Community Health (BACH) Survey

2007

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Introduction-Although previous studies report an association between erectile dysfunction (ED) and smoking, few have examined the impact of passive smoke exposure on ED. This analysis examines the association of active and passive smoking and ED and investigates a dose-response effect of smoking. Methods-TheBoston Area Community Heath (BACH) survey is a study of urologic symptoms in a racially and ethnically diverse population. BACH used a multistage stratified random sample to recruit 2301 men, aged 30-79 yr, from the city of Boston. ED was assessed using the five-item International Index of Erectile Function. Smoking and passive smoking were assessed by self-report. Analyses adjusted for sociodemographic and lifestyle factors and important chronic illnesses.Results-An association between smoking and ED was observed with a significant trend in increased risk of ED with cumulative pack-years of smoking (adjusted odds ratio [OR] = 1.68; 95% confidence interval [CI], 1.03, 2.30 for ≥ 20 pack-years). Compared to never smokers not exposed to passive smoking, men who never smoked but were exposed to passive smoking had a moderate, statistically nonsignificant, increase in risk of ED (adjusted OR = 1.33; 95%CI: 0.69, 2.55) comparable to the OR observed for a cumulative exposure of 10-19 pack-years of active smoking (adjusted OR = 1.25; 95%CI, 0.68, 2.30).Conclusions-Results indicate a dose-response association between smoking and ED with a statistically significant effect observed with ≥ 20 pack-years of exposure. Passive smoking is associated with a small, statistically nonsignificant increase in risk of ED comparable to approximately 10-19 pack-years of active smoking.

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“…For example, in a study of male callers to a sexual concerns helpline, the duration of ED was significantly associated with a willingness to seek medical help (Po0.001). 10 In addition, organic comorbidities were significantly associated with prior consultation with a doctor in patients with ED (Po0.05). Partners can also be instrumental in seeking help: analysis of calls made by 2287 women to the same helpline revealed that nearly half (46.6%) were motivated to seek help regarding a partner's sexual problems.…”

Section: Why Is Ed Under-diagnosed and Under-treated?mentioning

confidence: 98%

“…For example, in a study of 9536 men with sexual concerns who called a helpline over a 5-year period, 5164 had ED, but only 1903 men (36.9%) had ever consulted a doctor. 10 Results from a survey of 639 men in the United States conducted by the American Association of Retired Persons revealed that only 10% reported seeking or receiving treatment for 'sexual problems.' 1 This reluctance may be because of embarrassment or a lack of understanding of the disease or its available treatments.…”

Section: Why Is Ed Under-diagnosed and Under-treated?mentioning

confidence: 99%

Understanding individuals' response to erectile dysfunction

Hatzichristou

2008

Int J Impot Res

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Erectile dysfunction (ED) is a common condition in men with cardiovascular disease (CVD), yet it is frequently under-recognized and under-diagnosed in clinical practice. Men are often reluctant to seek treatment, even though they have lower sexual and overall life satisfaction compared with healthy people. Moreover, moderate ED has a similar impact on a patient's satisfaction with sexual life as severe ED. Both patient-and physician-related factors contribute to the underdiagnosis and under-recognition of ED. A holistic, patient-centered approach is fundamental to the management of ED in men with CVD. Sexual medical training courses can enhance physicians' communication skills. Implementing lifestyle changes, recognizing the factors that lead to poor compliance and reducing psychologic stress can also lead to improvements in the management of ED. As ED and CVD share similar risk factors, a common prevention strategy has been proposed.

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Erectile Dysfunction and Premature Ejaculation are the Most Frequently Self-Reported Sexual Concerns: Profiles of 9,536 Men Calling A Helpline

Cited by 54 publications

References 24 publications

Sexual Dysfunctions as Self-Reported by Diabetic- Type-2 Men: An Andrology Clinic-Based Study in Alexandria, Egypt

Sexual Dysfunctions as Self-Reported by Diabetic- Type-2 Men: An Andrology Clinic-Based Study in Alexandria, Egypt

Association between Smoking, Passive Smoking, and Erectile Dysfunction: Results from the Boston Area Community Health (BACH) Survey

Understanding individuals' response to erectile dysfunction

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